<?php $this->load->view('layout/header');?>
<div class="supplier-content-page">
    <div class="product-test-h5">
        <ul class="breadcrumb">
            <li><a href="javascript:;">我的账户</a></li>
            <li><a href="<?php echo site_url('salesorder/grid')?>">账户信息</a></li>
            <li class="active"><a href="javascript:;">提现账户设置</a></li>
        </ul>
        <?php echo execute_alert_message();?>
        <div class="add-product">
            <div class="fonter">提现账户设置</div>
            <form class="public-validate-form form-horizontal" action="<?php echo site_url('accountinfo/changepwPost') ?>" method="post" enctype="multipart/form-data">
                <div class="form-group">
                    <label class="col-sm-1 control-label"><em>*</em> 提现银行</label>
                    <div class="col-xs-3">
                         <select class="form-control">
                             <option></option>
                             <option></option>
                          </select>
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-sm-1 control-label">提现账户</label>
                    <div class="col-xs-3">
                         <input type="text" class="form-control">
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-sm-1 control-label">开户姓名</label>
                    <div class="col-xs-3">
                         <input type="text" class="form-control">
                    </div>
                </div>
                <div class="form-group">
                   <label class="col-sm-1 control-label">证件号</label>
                   <label class="checkbox-inline">
                       <select class="form-control">
                           <option selected="selected">身份证</option>
                           <option></option>
                           <option></option>
                       </select>
                   </label>
                   <label class="checkbox-inline">
                       <input type="text" class="form-control ">
                   </label>
               </div>
                <div class="supplierlist-submit">
                    <button type="submit" class="btn btn-default">保存</button>
                    <a href="<?php echo site_url('accountinfo/accountRecord')?>">返回上一步</a>
                </div>
            </form>
        </div>
    </div>
</div>
<?php $this->load->view('layout/footer');?>